Active NPI
Kathy L Chidsey, LMT
- Massage Therapist
- West Palm Beach, FL
National Provider Identifier
1528101045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA26447
- Practice address
- 5300 Bosque LN
#34
West Palm Beach, FL 33415-2630 - Phone
- (561) 688-5776
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA26447 | FL | Primary |
Addresses
Primary practice location
5300 Bosque LN
#34
West Palm Beach, FL 33415-2630
Mailing address
5300 Bosque LN
#34
West Palm Beach, FL 33415-2630
Phone (561) 688-5776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA26447 | Other | FL | LISCENSED MASSAGE THERAPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA26447 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528101045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 BOSQUE LN",
"address_2": "#34",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334152630",
"telephone_number": "561-688-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 BOSQUE LN",
"address_2": "#34",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334152630",
"telephone_number": "561-688-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDSEY",
"first_name": "KATHY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA26447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSED MASSAGE THERAPI",
"identifier": "MA26447",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.